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Humana and CHI Franciscan Health Team Up to Create a Quality Care Experience for Medicare Advantage Members in Washington


Monday, November 27, 2017 12:30 pm EST



Public Company Information:

"By integrating CHI Franciscan Health’s care delivery with Humana’s reporting tools and analytics, our goal is to provide our members with high-quality care that will help them get and stay on the path to good health."

SEATTLE & LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM), a leading health and well-being company, today announced it has collaborated with CHI Franciscan Health on an individual-focused model of health care for Humana Medicare Advantage members in Washington.

Known as value-based care, the model is designed to help people achieve their best health by emphasizing:

  • More face time with physicians and personalized care that is tailored to each person’s unique health situation;
  • Access to proactive health screenings and programs that are focused on preventing illness;
  • Improved care for people living with chronic conditions with a focus on avoiding health complications (watch Humana’s “Better Chronic Management Through Value-Based Care” video);
  • Leveraging technologies, such as data analytics, that connect physicians and help them work as a team to coordinate care around the patient; and
  • Reimbursement to physicians based primarily on the health outcomes of their patients rather than solely on the number of services they provide (fee-for-service).

Humana’s Medicare Advantage plan members will now have in-network access to CHI Franciscan Health. In addition to offering patient services, the collaboration will focus on improving specific health metrics in Washington that are associated with high-quality care.

CHI Franciscan Health is a leader in quality care in the Puget Sound region. The system was recently awarded the only two “A grades” from Leapfrog in the South Puget Sound. With eight hospitals, nearly 300 clinics, and more than 12,000 employees, CHI Franciscan brings an innovative approach to patient-centric care that leverages partnership, technology, and science to keep patients and communities healthy.

“We are pleased to reestablish a relationship with Humana which will provide its members with access to CHI Franciscan Health care and furthers our commitment to manage the health and well-being of our patients,” said Dhyan Lal, CHI Franciscan Health Vice President Payer Strategy and Accountable Care.

Under this new agreement, CHI Franciscan Health’s physicians will also benefit by having new tools, access to real-time data and access to care support to maximize time spent with their patients covered by Humana Medicare Advantage.

“We are looking forward to expanding value-based care for our Medicare Advantage members in Washington by teaming up with CHI Franciscan Health,” said Catherine Field, Intermountain Region President for Humana’s Senior Products. “By integrating CHI Franciscan Health’s care delivery with Humana’s reporting tools and analytics, our goal is to provide our members with high-quality care that will help them get and stay on the path to good health.”

As of Sept. 30, 2017, Humana has 1.9 million individual Medicare Advantage members (out of 2.8 million total individual MA members) and 148,700 commercial members who are cared for by 51,500 primary care providers, in more than 900 value-based relationships across 43 states and Puerto Rico.

As of Sept. 30, 2017, Humana has reached its calendar year goal of having approximately 66 percent of Humana individual Medicare Advantage members in value-based payment relationships. Humana’s total Medicare Advantage membership is approximately 3.3 million members, which includes members affiliated with providers in value-based and standard Medicare Advantage settings.

For more information, visit humana.com/valuebasedcare.

About CHI Franciscan Health

CHI Franciscan Health is a nonprofit health system based in Tacoma, Washington with $2.6 billion in net revenue and a team of nearly 12,000 doctors, nurses and staff that provide expert, compassionate medical care at eight acute care hospitals and approximately 200 primary and specialty care clinics in Pierce, King and Kitsap counties. This includes St. Anthony Hospital, Gig Harbor; St. Clare Hospital, Lakewood; St. Elizabeth Hospital, Enumclaw; St. Francis Hospital, Federal Way; St. Joseph Medical Center, Tacoma; Harrison Medical Center, Bremerton and Silverdale; Highline Medical Center, Burien; and Regional Hospital, Burien. Started in 1891 by the Sisters of St. Francis of Philadelphia, today CHI Franciscan Health is one of the largest health systems in Washington state. The system spans more than 1,100 acute care beds, a credentialed medical staff of more than 1,500 including more than 800 employed physicians providing specialties in cardiovascular care, cancer care, orthopedics and sports medicine, neurosciences and women’s care. CHI Franciscan’s mission focuses on creating healthier communities, including caring for the poor and underserved. In 2015, the organization provided $141 million in community benefit, including $10 million in charity care.

About Humana

Humana Inc. (NYSE: HUM) is committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well-being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at large.

To accomplish that, we support physicians and other health care professionals as they work to deliver the right care in the right place for their patients, our members. Our range of clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience that makes health care easier to navigate and more effective.

More information regarding Humana is available to investors via the Investor Relations page of the company’s web site at www.humana.com, including copies of:

  • Annual reports to stockholders
  • Securities and Exchange Commission filings
  • Most recent investor conference presentations
  • Quarterly earnings news releases and conference calls
  • Calendar of events
  • Corporate Governance information

Additional Information:

Humana is a Medicare Advantage HMO and PPO organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. Other Physicians/Providers are available in our network. The provider network may change at any time. Impacted members are notified when necessary.


Multimedia Files:

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Humana Corporate Communications
Marina Renneke, APR, 602-760-1758
CHI Franciscan Health